| NPI | 1952584617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53619) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2007030432) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2014-07-16 |